| NPI | 1083286421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119107) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 361532) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2026-02-09 |